Mr. Speaker, I yield myself such time as I may consume. Enough really is enough. The unfair way Medicare pays our local doctors to treat our seniors has gone on for far too long. It is making it harder for seniors to see a doctor they know…
Mr. Speaker, I yield myself such time as I may consume.
Enough really is enough. The unfair way Medicare pays our local doctors to treat our seniors has gone on for far too long.
It is making it harder for seniors to see a doctor they know and who knows them. It is chasing local doctors out of Medicare and out of private practice, and it is encouraging too much waste and too many unnecessary procedures within Medicare.
As chairman of the Health Subcommittee of Ways and Means, my top priority has been to find a permanent, reliable 21st century solution that both political parties and physicians can embrace.
H.R. 4015 repeals the current flawed formula for reimbursing our doctors, and it ends the yearly threat of massive cuts.
In working with America's physicians, it establishes a more patient- centered approach that provides stability to our doctors, rewards them for high-quality care, begins to streamline the red tape our physicians face, and encourages better coordination and prevention. Over time, it transitions to a model that rewards value over volume by using the real-life approaches that doctors use, not what Washington wants.
H.R. 4015 is a solid foundation from which to build an even better Medicare system, and it has overwhelming support from physicians. This is a major step forward, but we need to finish the job. We need to work together--Republicans and Democrats, the House and the Senate--to figure out how to make this policy a reality in a way that doesn't increase the deficit.
There may be disagreements over how to pay for this reform. That is understandable as it is difficult, and today's bill is not the last word. Let's continue to advance this long overdue solution and commit to finding a bipartisan solution between the House and the Senate. The clock is ticking, so let's act together today.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I am pleased to yield 3 minutes to the gentleman from Louisiana (Mr. Boustany), a physician and a key member of the Ways and Means Committee. I cannot describe how much of an important role he has played in finding this new solution to how we reimburse doctors under Medicare.
Mr. Speaker, I am really pleased to yield 3 minutes to the gentleman from Pennsylvania (Mr. Kelly), a gentleman who is one of the newest members of the Ways and Means Committee. He is a businessman, but he is a real fighter for Pennsylvania's seniors and doctors.
Mr. Speaker, may I inquire how much time is remaining?
Mr. Speaker, I yield 3 minutes to the gentleman from New York (Mr. Reed), one of our key members of the Ways and Means Committee, who has brought the concerns of New York doctors to our attention.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I continue to reserve the balance of my time.
Mr. Speaker, I am prepared to close.
Mr. Speaker, I yield myself the balance of my time.
First, I want to commend and thank our Democrat colleagues on the Ways and Means Committee and the staff for working so hard, along with Energy and Commerce and the Finance Committee in the Senate, to find a good, solid solution. I think we have made a big step forward. We have got some work to do. I know we can do it.
I went to see my doctor the other week. He is 66 years old, looks like he is 46; kind of makes me mad. But he has got a successful practice, a very good doctor.
He told me he would like to keep practicing for another 5 or 6 years, and he said: But Kevin, I am not going to. This will probably be my last year. Medicare has just made it too hard for him to stay this practice.
As I left the examining room, I looked at his assistant who has been with him 30-some years, all his professional staff, a full waiting room, and I thought, what are we doing chasing a doctor like this out of practice early? Who is going to replace him? Who is going to take care of these people?
He is not alone. In Texas, less than half of Texas family physicians take new Medicare patients. Many of them are rethinking their relationship with Medicare. Others are closing their private practices. So more and more seniors are chasing fewer and fewer doctors, and that is the dilemma we face today.
Maybe I am an optimist, but I think we are 90 percent of the way toward solving this solution. We have broad support for this policy and this bill.
We have a duty to make sure our seniors have access to their doctors, and Democrats and Republicans have been putting in a lot of work to solve this problem. Yeah, we have some work to do.
Now is the time to permanently fix the way we reimburse our doctors. As we move forward, let's work in a bipartisan way, across the Chambers, across the parties to get it done. I am absolutely confident we can do that.
Mr. Speaker, I yield back the balance of my time.